Treatment Strategies for Acute Ischemic Stroke Caused by Carotid Artery Occlusion

被引：22

作者：

Li, Wei ^{[1
]}

Yin, Qin ^{[1
]}

Xu, Gelin ^{[1
]}

Liu, Xinfeng ^{[1
]}

机构：

[1] Southern Med Univ, Jinling Hosp, Dept Neurol, 305 East Zhongshan Rd, Nanjing 210002, Jiangsu, Peoples R China

来源：

INTERVENTIONAL NEUROLOGY | 2016年 / 5卷 / 3-4期

基金：

中国国家自然科学基金;

关键词：

Acute ischemic stroke; Intravenous thrombolysis; Intra-arterial therapy; Carotid artery occlusion;

D O I：

10.1159/000445304

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Acute ischemic stroke caused by internal carotid artery (ICA) occlusion usually has a poor prognosis, especially the T occlusion cases without functional collaterals. The efficacy of intravenous (IV) or intra-arterial (IA) thrombolysis with recombinant tissue plasminogen activator (rt-PA) remains ambiguous in these patients. Eendovascular recanalization of the occluded carotid has been attempted in recent years as a potential strategy. However, the different etiologies of ICA occlusion pose a significant challenge to neurointerventionists. Recently, several endovascular evolvements have been reported in treating carotid occlusion-related stroke. This review summarizes the current status of treatment for acute ICA occlusion. (C) 2016 S. Karger AG, Basel

引用

页码：148 / 156

页数：9

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